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Age-Related Differences in Oral Microbiota Among Obese Patients with Periodontitis: A Systematic Review
Felicia Gabriela Beresescu1, Razvan Marius Ion2,3,4, Adriana Monea1
1Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mureș, 540142 Targu Mureș, Romania.
Age influences the oral microbiome in obese adults with periodontitis, but direct comparative data is limited. Current research suggests age-specific microbial patterns are hypothesis-generating, not definitive.
Area of Science:
- Oral microbiology
- Periodontology
- Obesity research
Background:
- Obesity and periodontitis share inflammatory and metabolic links, potentially mediated by oral microbiota.
- Aging may alter immune function, salivary flow, and cumulative exposures, influencing obesity-related periodontal dysbiosis.
Purpose of the Study:
- To investigate age-related differences in the oral microbiota of obese adults with periodontitis.
- To evaluate the strength of existing literature supporting age-specific interpretations of this relationship.
Main Methods:
- Systematic literature search of PubMed/MEDLINE, Scopus, and Embase (1088 records identified).
- Qualitative synthesis of 50 studies, with 10 selected for direct evidence on obesity, periodontitis, oral microbiota, and age.
- Risk of bias assessed using the Newcastle-Ottawa Scale.
Main Results:
- Direct comparisons of oral microbiomes between younger and older obese adults with periodontitis are scarce.
- Obesity is linked to increased periodontal inflammation, periopathogen enrichment, and altered microbial community structure.
- Hypothesized age-related differences: older adults may have lower diversity/persistence-oriented communities, younger adults inflammation-amplifying consortia.
Conclusions:
- Age likely modifies the obesity-periodontitis-microbiota interaction, but direct adult evidence is limited.
- Current literature supports cautious, age-aware interpretation rather than definitive age-specific microbial signatures or treatments.
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